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AGENCY CUSTOMER ID: URBANCROS <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />AGENCY <br />NAMED INSURED <br />Dealey, Renton & Associates <br />Urban Crossroads, Inc. <br />41 Corporate Park, Suite 300 <br />POLICY NUMBER <br />Irvine, CA 92606 <br />949 660-1994 <br />CARRIER <br />NAIC CODE <br />EFFECTIVE DATE: <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />liability coverage. Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br />SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non -Payment of <br />Premium. <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />name aria logo are reglstereo N1arKs Of ACORD <br />